Women's Break Away Registration Form

Contact Information
Name
Street Address
City
State/Province
Zip/Postal Code
Home Phone
E-mail
Roommate Preference
Registration Information
Lodging Preference(bedding and towels provided)
Arrival Day
		Cost: $95 (sessions, meals, lodging) Save $10 - Preregister by May 31 with a $25 down payments and lower you total cost to $85! After submitting this form you will be directed to a page with a PAYPAL button. You can make your down payment that way or with a check. Checks (payable to Oak Hills Fellowship) can be mailed to: Oak Hills Fellowship Women's Week 1600 Oak Hills Road SW Bemidji, MN 56601
		If you have additional questions, comments or requests please enter them below, or call Scott Buchan, Director of Camps and Conferences, at 1-888-751-8670 ext. 1213.
		Your registration provides Oak Hills Fellowship/Oak Hills Christian College the authorization to use photos and videos of you and your registered group for promotional purposes.